Individual provider · Type 1 NPI

Theresa M. Burbank, MA LPC

Mental Health Counselor · Conroe, TX

NPI number 1083608988 Active

Practice location

112 West Pauline
Conroe, TX 77301

Call (936) 760-1880 Map

Fax (936) 760-9101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X15294 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1083608988

Theresa M. Burbank, MA LPC's National Provider Identifier is 1083608988, issued on Sep 7, 2005. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conroe, TX. The record was last updated on Mar 11, 2010.